Community Forum Archive

The Epilepsy Community Forums are closed, and the information is archived. The content in this section may not be current or apply to all situations. In addition, forum questions and responses include information and content that has been generated by epilepsy community members. This content is not moderated. The information on these pages should not be substituted for medical advice from a healthcare provider. Experiences with epilepsy can vary greatly on an individual basis. Please contact your doctor or medical team if you have any questions about your situation. For more information, learn about epilepsy or visit our resources section.

I'm scared, Dilantin is killing me!

Sun, 01/09/2005 - 03:01

I have TLEs and Generalized sz's.  I sz every day at least with drops, absences and jerks and then I have the odd CP or Jamais Vu or t/c and other things thrown in here and there.  I have nocturnals which right now seem to be complex partials where I get out of bed wondering around trying to find my mother, who is deceased but I've also wondered around continually running into a wall trying to find a bathroom. I've even gone outside several times (I'm at least getting my exercise even tho I'm asleep!).  One of my big problems is that I'm unable to take anything more than Dilantin with Clonopin which makes it more effective.  I can take Keppra but it doesn't help me.  All other AEDs give me horrid side effects.  The new thought now is that this might be because I can't take other AEDs with Dilantin so an effort was just made in the hospital to get me off Dilantin, so I could once again try another AED and as terrified as I am to go through the wretched side effects I have with another AED, I was up for it.  During this attempt to get me off Dilantin I went status for a long period of time.  Wound up intubated, unconscious for quite awhile and the decision was made to send me home.  I have bronchitis right now too and my epileptologist felt as touchy as my body seems to be, he wants that cured first, which is seemingly hard to do, and we'll try again.  This time I'm going to slowly taper off Dilantin instead of cold cocking me off.  I have been cold cocked off Dilantin before and felt wretched but didn't go status and when I was just in the hospital I had an IV drip of sedatives to try and stop that from occurring, yet it did.

NOW this is what irritates me to no end.  I've had this for 6 years.  Actually I've probably had it all of my life, I know for sure since I was 7 as my mother had me treated for 10 months but insisted my doctor call it "hyperkinicity" aka ADHD and not epilepsy. I believe she was afraid of what that diagnosis could do to me prejudicially during that period of time (the 50's) but the notes state I had generalized epilepsy.  I do remember taking phenobarbitol, feeling sleepy but also getting rid of the weird feelings I had had all of my life.  Then I was taken off.  Had odd sensations, lost blocks of time and other things all of my life but 6 years ago exploded into full blown epilepsy I couldn't ignore.  I'm now on disability but I waited a long time to apply hoping to be able to work.  In my profession, or in any job I have found out, employers want me conscious at all times!  Can't blame them, and I'm considered by any employer a liability risk.  ALSO, I haven't been allowed to volunteer either so my home - has started feeling like a prison.

Anyway, I've been then primarily on Dilantin and Clonopin for 6 years after trying many other AEDs with disastrous side effects.  This is what really PO's me off.  Why don't these blasted neurologists tell you things like long term effects of these poisons?  When I was first put on both of these drugs my sz's stopped just like that for 5 months.  I was given a quinolone antibioitic that cancels Dilantin, which it did, and I've been out of control since then - about 5.5 years ago.  But at  no time did anyone ever tell me, and admittedly I didn't read about it for myself but took someone's word for it that Dilantin is an old thus safe drug (my A**).  No one ever told me that Dilantin shouldn't be used for long term use.  That's the latest news on Dilantin I've heard but how "latest" I don't know.  I read here someone took it for 40 years?  Good Grief!  I know we all have our own individual reactions.  I read someone takes Depakote or Neurontin especially and do just fine and I'm in a near coma.  I was a lunatic on phenobarbitol and on and on so I'm stuck on Dilantin and I became very insistent about no one changing me off of it as we changed communities twice, doctors several times, and I have been adamant not being changed off of Dilantin because of the side effect hell I went through for 2 years while neuros tried me on different things.  No one though told me Dilantin long term can be dangerous.

Over 2 years ago I think my Dilantin levels were always in the at least slightly toxic range but it seemed my sz's were a little better too so it was felt that was therapeutic, left that way.  Since then my levels are booming, huge, as my epileptologist states "not acceptable" but even now on a very low dose, not even a therapeutic dose I'm toxic but I have to take something for now, and Dilantin is it. 

But this long term use, long term toxicity?  Has shot my liver enzymes way up and nothing is bringing them down.  I now have peripheral neuropathy in both of my feet from the Dilantin and I'm not wild about loosing my feet!  And this week I find out I have pancreatitis, which is a dangerous inflammation/infection of the pancreas and that also is attributable to the Dilantin.  I'm supposed to be hospitalized for it and right now I'm refusing.  I had this about 1.5 years ago too.  I'm an RN.  I had a pic line installed, a long term type of IV line, and hung my own antibiotics at home, gave myself my own insulin and got over it in about 6 weeks but no one is allowing me to do that now.  Which is infuriating since I did it successfully once before.  All of that on top of my memory shot to shit from being on Dilantin which is the all time memory robber.

I feel so guilty about telling any of my family I have yet another problem.  One of my daughters and my husband have been my primary supporters.  As in another thread I read, a lot of my children and other "friends" and family have run like rabbits terrified I guess I'll have a seizure in front of them (don't you feel like with people like this telling them - how can they be so sure what they're health future is and if they get something devastating do they want YOU to be around and be supportive or should you take off too?)  My husband has been there but he's had an  obvious grudge, frustration, anger about this and I think I've hit the wall with his attitude and am probably divorcing him although I really can't live alone but I'm working or trying to work those kinks out but how can I when I keep getting one thing after the other?

Why am I posting?  I'm just depressed.  As bad as I have this I have fought hard and I live as full a life as I can and it is hard.  I don't feel like the doctors I've been to have given me information I should have had all along, any of them, about AEDs, seizures, any information that I should have had and now I wonder - and what else don't I know?  If I hadn't had been on some chat lines and looked things up for myself I wouldn't know anything about my epilepsy.  I know I'm not the only one who has this problem too.

The other reason is, I'm frightened.  I feel like I'm having one organ failure after the other.  Is this it!  I try to stay optimistic and usually do but it is very hard to stay optimistic when you're ill, and from these blasted poisons called AEDs, which I can't live without and can't seem to live with.

HELP (with my attitude)

Comments

RE: RE: RE: RE: I'm scared, Dilantin is killing me!

Submitted by Gretchen on Sat, 2005-05-07 - 23:41
Yannie one of the cardinal signs of Dilantin toxicity is a worsening of your epileptic symptoms. Thus increased sz'ing. When I was first placed on Dilantin I'd periodically become toxic and I soon came to know when I was toxic because my sz's would rev up, I'd have my level check and yep, I was toxic. Later when I became chronically toxic I....well you know what? I can't remember to compare those years and these years. I started this thread awhile back. I'm still on Dilantin. I've had too many other pressing health problems to try to get off of it. Every taper I've tried has resulted in a status seizure so right now? I'm floating I guess. Trying to get over these other things. It was diagnosed by a liver specialist that my liver failure, which is what it finally became, was not because of my Dilantin or Clonopin drugs but probably chronic serum hepatitus I got from vaccinations, a kind that was quicly taken off the market in l985. Yet I got 3 innoculations and was very sick when I did. I agree with all Dayna say, and say I second that. I'm a little sz'y tonight so this is about as much as I can type - with any brains. Hopefully this sounded a la brains.Gretchen

RE: RE: RE: RE: RE: I'm scared, Dilantin is killing me!

Submitted by pongosmommy on Sat, 2005-05-07 - 23:49
Gretchen,Please feel better soonDayna

RE: RE: RE: RE: RE: I'm scared, Dilantin is killing me!

Submitted by yannie44 on Mon, 2005-05-09 - 09:41
Dear Dayna & Gretchen,Thank-you so much for replying! I'm floating! It's so strange talking to people who know what I'm talking about. I was starting to feel like maybe I WAS the overprotective mother that docs like to make you feel like.By the way, my name's Maryanne. I live in Melbourne, Australia and have 5 kids - Nick's the good ol' middle child.I've been haunting these sites for a couple of years, on and off, trying to glean some info but this is the first reply I've had.Thanks again. I don't feel so alone.Maryanne.

Sign Up for Emails

Stay up to date with the latest epilepsy news, stories from the community, and more.